Tillman, Amond
Tillman, Amond is an individual health care provider with primary practice located at 399 Mill Hill Ave , Bridgeport CT 06610-2865. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Tillman, Amond can be contacted via phone (203) 953-3369.Contact Information
Primary practice address
399 Mill Hill Ave
Bridgeport CT 06610-2865
Phone: (203) 953-3369
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 001099 | Connecticut |
Profile Details
| NPI number | 1538557624 |
|---|---|
| LBN Legal business name | Tillman, Amond |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2014 |
| Last updated | Dec 26th, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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